Download or read book Reducing CAUTI written by Jason Ferroni and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the inpatient hospital setting, indwelling urinary catheters have become increasingly common. In fact, 25% of hospitalized patients have an indwelling urinary catheter, and 10% of those will develop a catheter associated urinary tract infection (Oman and others, 2011). In reviewing the research it is clear that there are appropriate interventions that have proven to reduce the incidence of CAUTI. Many of these interventions are not product or technique driven; rather, they are reliant on health care provider awareness, engagement, and behavioral change. In an article published in the American Journal of Infection Control authors state 0−́as an important element of socio-adaptive change, HCW engagement at the hospital level is an essential component for successful implementation of the CAUTI prevention work0+́ (Fakih and others, 2014). This proposed project is intended to discuss changes that should be considered. To be truly effective the project proposal includes a problem description, proposed solution, review of research, implementation plan, information dissemination plan, and description of method for evaluation. The research indicates that interventions should be implemented in a bundle. This proposal suggests that the interventions should begin with education. Education is the key to provider awareness, however, there is significant evidence to include guidelines for insertion of catheters, reminders to reassess, physician stop orders, and mindful maintenance and management of the indwelling urinary catheter. If all interventions are implemented simultaneously, and ongoing evaluation completed, then there is the potential to reduce the incidence of catheter associated urinary tract infection. This will benefit all parties involved; reduce excess financial costs and the burden of 0−́never events0+́, improve patient care, quality, and satisfaction.

Download or read book The Nation s Nurses written by Aleda V. Roth and published by . This book was released on 1974 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Exemplar of Evidence based Practice written by Beth Cooke and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using urinary catheters routinely can cause complications for patients, most commonly catheter associated urinary tract infections (CAUTI's) (Elpern and others, 2009). Infections caused by the catheters often times result in sepsis, longer hospital admissions, increased hospital costs, and mortality (Elpern and others, 2009). A major risk factor in developing a CAUTI is the duration the urinary catheter remains in place. When inserted, urinary catheters often will remain in place longer than the appropriate indication that is needed (Elpern and others, 2009). Methods to reduce CAUTI's include limiting the use of urinary catheters and removal of catheters as soon as the catheter is no longer indicated (Elpern and others, 2009). Without the urinary catheter in place, the risk for infection is no longer a threat. This project's purpose was to implement an evidence based practice change that would decrease the rate of CAUTI's in the writer's hospital. A literature search was used to obtain evidence-based information to support the proposed change. The Grand Canyon Library and the writer's hospital library were utilized. The different electronic databases included: CINAHL Complete, OVID, EBSCO, and MEDLINE. Using search words that included urinary catheters, urinary tract infections, preventing infections, and risk of urinary catheters resulted in over 900 articles. The article abstracts were reviewed and articles were chosen that addressed daily assessment, early removal and prevention of CAUTI's. Evidenced based strategies that included the daily assessment to determine the indication for the catheter and the early removal of catheter were selected from the literature. After careful review of the literature, implementation, evaluation, and dissemination plans were developed for the proposed practice change. The literature supports the proposed plan and implementing them into our nursing practice will increase better patient outcomes and will have higher patient satisfaction. The proposed plan will also decrease hospital length of stay and hospital costs.

Download or read book Reducing the Catheter Associated Urinary Tract Infection written by Helen Truong and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Foley catheter or the indwelling urinary catheter has been widely used for hospitalized patients who have health problems such as urinary retention, ulcers with incontinence, and traumatic injuries. However, this method can put patients at a risk of serious complications, psychological and physical discomforts, and most frequently catheter-associated urinary tract infection or CAUTI. The CAUTIs can cause longer hospital stays, increase healthcare expenses, and increase the mortality and morbidity rates. The Medicaid and Medicare currently refuse to pay for CAUTI occurrences since problem can be prevented. More incidences of CAUTI are occurred when the time of using catheters is longer than needed and also when the catheterization is being used inappropriately. Education should be emphasized more to help change healthcare providers' perception about this issue since this would affect their quality of care and the prevention of CAUTI. Nursing-driven protocol can reduce the incidence of CAUTIs by reducing unnecessary uses of indwelling urinary catheters. The best approach is to avoid catheterization or remove unnecessary catheters to reduce and eliminate CAUTIs. The project ""Unit without indwelling urinary catheters"" is introduced in this study focuses on how to reduce the incidences of CAUTI by promoting the use of alternative methods and applying prevention strategies such as using reminder systems, automatic stop orders, screening risk factors, intermittent catheterization, and condom catheters. Many current researches and studies are providing evaluable information regarding the benefits of using these alternative methods and prevention strategies in order to significantly reduce the CAUTI occurrences, decrease the healthcare expenses, and therefore improve quality of care for hospitalized patients. Key words: indwelling urinary catheters, cauterization, CAUTI, hospitalized, prevention strategies, intermittent, healthcare cost, length of time, education, awareness.

Download or read book Preventing Hospital Infections written by Jennifer Meddings and published by Oxford University Press. This book was released on 2021 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Healthcare-associated infection takes a heavy toll on patients, and negatively affects hospitals themselves, both financially and psychologically. Proven technical approaches to prevent infection have often faltered because of the failure of hospital staff to adopt them. This book focuses on these adaptive problems, particularly as experienced during efforts to combat catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and Clostridioides difficile infection (CDI). It provides a step-by-step description of a model quality improvement intervention, explaining why clinicians neglect or actively oppose such initiatives and how to change their minds. The focus is on preventing CAUTI, which has proven far more resistant to quality improvement efforts than CLABSI. The CAUTI intervention framework is also broadly applicable to a variety of other hospital issues including preventing falls and Clostridioides difficile infection. The solutions presented grow out of the extensive research by the clinical authors and their colleagues at the University of Michigan and VA Ann Arbor Healthcare System"--

Download or read book Reducing CAUTI with Nurse Driven Practice written by Sheeba Joseph and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to American Association of Critical-Care Nurses study, catheter associated urinary tract Infections (CAUTI) are one of the major health care associated infection responsible for up to 40% of infections in the hospitals. Since catheter-associated urinary tract infection is common, expensive, and assumed to be 'reasonably avoidable,' nurses and other healthcare experts have to take all efforts to spread the awareness to refrain situations that may induce urinary tract infections. The growth in the number of CAUTI has sustained to alarm administrators and healthcare suppliers. And so, through this paper this writer would like to present a thorough description of CAUTI.Eventhough urinary catheterization is supposed to be a sterile procedure, any negligence in the insertion procedure may bring serious complications. The Joint Commission's 2012 National Patient Safety Goals recommends evidence based nursing practices as a new goal line for averting CAUTI.Education is the initial step for any implementation plan. In order to achieve the expected outcome all health care experts especially nurses should be participating in training session. Establishing catheter limitation protocols to outline suitable catheter usage is an important CAUTI reduction policy. Once the informative training is executed, an evaluation plan must follow to perceive the effectiveness of the session. Maintaining accurate guiding principle, participating conferences and compulsory in services would obviously bring a reduction in the rate of infections. Nurse driven protocols are basically meant to give nurses the authority to take decision on the initiation and removal of urinary catheters, define the situations in which the best practices to be followed, and explaining the processes involved.

Download or read book Foley Catheter Care written by and published by . This book was released on 1986 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Change in Catheter Care to Reduce CAUTI s written by Winsome Jakins and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of urinary catheters has become a common standard of care for most patients that are going to be admitted to the hospital. According to Jaggi and Sissodia (2012) Catheter Associated Urinary Tract Infections (CAUTI) contribute 30%-40% of all the nosocomial infections and they are associated with substantially increased institutional death rates. These rates will only continue to climb if there is not better catheter care implemented. The solution to this implementation of better catheter care is conduct a study on the old standard maintenance and care using soap and water as opposed to the current practice of chlorhexadine wipes and comparing it to the use of a specialized maintenance and care using non-medicated bath wipes. The setting would take place in the intensive care unit and would be conducted on those patients with an indwelling urinary catheter for six months. The first three months would be trialing the soap and water method and the last three months trialing the use of the non-medicated bath wipes. The materials and would consist of a bath basin, soap and water for the first three months and then non-medicated bath wipes for the last three months. The methods for implementation would be a literature review to see what resources were available and then an educational tool, demonstration on a manikin and a reverse demonstration would be done with an evaluation after the demonstration. Results of proper maintenance and care of the indwelling urinary catheter could potentially decrease the CAUTI rates significantly once patient care staff was educated properly. According to Strouse (2015) chlorhexidine (CHG) wipes were not found to lower incidence of CAUTI and these are the techniques that are being used currently and with this evidence the practice needs to change. Once the staff is properly educated and demonstrations were done, the project would be implemented and could potentially be a big benefit for the hospital by reducing CAUTI's.

Download or read book Reducing CAUTIS in a Neurological ICU written by Claire Mckee and published by . This book was released on 2019 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheter-associated urinary tract infections (CAUTIs) are the primary source of infection in patients with urinary catheters and are the fourth leading cause of healthcare-associated infection. Because indwelling urinary catheters are not completely avoidable in hospitalized patients, it is crucial to utilize evidence-based research to prevent CAUTIs. A urinary catheter maintenance bundle is one way to reduce CAUTI rates in hospitalized patients. This quality improvement project utilizes a catheter maintenance bundle with seven elements with the aim of reducing CAUTI rates. The project takes place in a 20-bed neurological intensive care unit (ICU) in a larger tertiary care medical center. Prior to initiating compliance to catheter maintenance care through audits, staff nurses in the ICU were educated on the hospital’s infection prevention urinary catheter maintenance bundle that includes seven elements of catheter maintenance. These elements include red seal intact, bag and tubing off of the floor, bag below level of the bladder, urine flow without obstruction, thigh securement, individual collection container, and collection container that is labeled. There were 394 catheter maintenance bundle audits completed biweekly from February 2019 to May 2019. Increased compliance to the catheter maintenance bundle was achieved but did not result in a decrease in CAUTI rates.

Download or read book Reducing Patient Harm from Catheter Associated Urinary Tract Infections A Quality Improvement Project written by Grace Cooper and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Problem: The Institute of Medicine0́9s seminal report on patient safety, To Err Is Human led to widespread effort to improve the safety of patients. Healthcare-associated safety problems, which include healthcare-associated infection (HAI), account for far more considerable morbidity and mortality than 0́−never events0́+. The first harm to be addressed as part of the 0́−No Preventable Harms0́+ campaign was catheter-associated urinary tract infection (CAUTI). Context: The microsystem is a 20-bed mixed medical surgical intensive care unit. Unit assessment at the beginning of the quality project indicated that there were 2 CAUTIs attributed to the unit in a span of 6 months. CAUTI is associated with approximately $15,000 to each patient care cost and increase length of hospital stay for an additional 5 to 7 days. Intervention: To realize effective changes in the ICU and evaluate the action plan, changes are tested by incorporating patient lines on the multidisciplinary rounds (MDR) script to discuss accurate indication and date of insertion of the indwelling catheter. The staff nurse will articulate accurately the indication and confidently obtain an order to remove the catheter if the indication no longer exists during MDR. If the indwelling catheter is clinically indicated, the nurse ensures the bundles are in place such as presence of securement device, maintain an unobstructed flow, maintain drainage bag below level of the bladder, perform hand hygiene before and after patient contact and lastly, provide a labeled collection container for the patient. Measures: The outcome measure for this project is to decrease the number of CAUTI in the ICU from 2 (April 2017 data) to 0 and further decrease the standardized infection ratio (SIR) of 1.48 by 50%. Compliance with catheter indication and or early removal when indication no longer exists would be the process measure, expecting 90% of compliance through random chart audits and MDR observation. Results: The percent of ICU patients with accurate indwelling catheter indication during MDR is improving, but not yet stable. This requires on-going monitoring and feedback to ensure a standardized and reliable process. A positive trend indicates that non-indicated catheters are identified and discontinued during MDR and with regards to percent of ICU patients compliant with the CAUTI prevention bundle does not have enough data to establish a trend, but performance is moving in a positive direction indicates increasing compliance to the CAUTI bundle. Conclusion: The last CAUTI in the unit was in November 2017. Solidifying the interventions into clinical practice will deter the development of CAUTI and supports this positive trend. Engaging staff and providers to reduce CAUTI rates to near zero requires a multidisciplinary approach and using the MDR as the venue commenced integration of the CAUTI prevention process into the front-line staff0́9s daily routine. The data shows promise in standardizing the approach during MDR rounds to prevent CAUTI and a potential spread of practice to other units. In conclusion, the unit aims to decrease the standard standard infection ratio by 50% thus preventing CAUTI respectively.

Download or read book Decreasing the Risk of Catheter associated Urinary Tract Infection CAUTI written by Alma A.M. Treskow and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research has proven that patients with an indwelling urinary catheter are at a greater risk for the development of a urinary tract infection (UTI). UTIs were identified as the most common nosocomial infection at 40%, with 80% of UTIs being associated with the presence of an indwelling urinary catheter. The probability of getting an infection rises with the amount of time the catheter is in place. The most effective way to reduce urinary tract infections is to reduce the incidence of indwelling catheters. Through assuring urinary catheters are clinically indicated and reassessing the need, selecting appropriate products, utilizing aseptic technique on insertion, and maintaining proper catheter hygiene, registered nurses can help make a great impact on reducing the amount of catheter-acquired urinary tract infections (CAUTIs). Through daily assessment, prompt removal of catheters no longer indicated, and nurse-led interventions the incidence of CAUTIs can be greatly reduced, providing safer care to patients, reducing length of hospital stays, and decreasing costs of health care.

Download or read book Capstone Project written by Missiet Fogoum Nadine Carole and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheter-Associated Urinary Tract Infection (CAUTI) rate continue to rise among patients and more than 560,000 patients develop CAUTI each year, leading to extended hospital stays, increased health care costs, and patient morbidity and mortality (ANA, 2015). Healthcare professionals play an important role in reducing CAUTI incidence rates to save lives and prevent harm, and this can be done simply by following or putting into practice new evidence based guidelines. This paper is about a written project on how to decrease the incidence of CAUTI at Deanwood Rehabilitation and Wellness Center. This facility will develop new guidelines for CAUTI prevention practices using the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA) policies for CAUTI prevention. Implementation of specific practices to reduce CAUTI will include staff education regarding new CAUTI prevention guidelines practice, nurse driven Foley catheter insertion, maintenance and removal protocols, and weekly catheter audit tool to monitor the effectiveness of the program. Using a quasi-experimental design, eligible participants who are patients who actually have an indwelling catheter will be given surveys to seek their opinion on how employees are adapting to the new guidelines. Participants' eligibility will be determined by using a Mini-Mental State Examination tool, and consent forms will be given to participants before the survey. This will be helpful in evaluating the effectiveness of the program, and how staffs are putting into practice the new CAUTI prevention guidelines implemented at the facility. Results will guide the facility in reinforcing employees' education or training and adjusting the new guidelines accordingly.

Download or read book Importance of Protocols to Prevent CAUTI written by Patrick Hopphaus and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheter acquired urinary tract infections are a serious risk to hospitalized patients with indwelling urinary catheters. Patients who develop CAUTIs face serious health risks and require much more care from nursing staff. CAUTIs are also a great financial burden to institutions due to the fact that in 2008, the Center for Medicare and Medicaid Services (CMS) chose CAUTI as one of the complications that health care facilities would no longer be compensated for. CAUTIs are often times directly linked to the care that the patient received and often times bring a negative light to the nursing profession. By utilizing a set of catheter care protocols we can greatly reduce the number of occurrences of CAUTI in hospitalized patients. "The available evidence supports nurse-led or chart reminders to stimulate consistent daily assessment of the continuing need for a catheter and to remove it as soon as possible" (Bernard 2012). This theory helps to break the infection chain at one of the links and is a key aspect to the proposal. When changes in protocols are made it is extremely important to be able to properly evaluate the effectiveness of those changes. Developing proper evaluation tools, recognizing possible variables that may affect outcomes and providing participants the proper tools to be able to assist in the evaluation are all important aspects to the evaluation. With proper evaluation a conclusion can be made as to whether the changes made were effective or ineffective. When making changes to protocols it is important to be able to disseminate the results of the changes to different groups. Understanding which groups will be receiving the information and the best format to use for each group is important to ensuring the most effective methods are utilized and the positive outcomes of the changes are presented properly. With the proper dissemination of information all involved will agree that the best method for reducing the instances of CAUTI is to use a set of "bladder bundle" protocols.

Download or read book A Nurse driven Protocol to Reduce the Duration of Indwelling Urinary Catheters and Prevent written by Joona Rajan and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheter associated urinary tract infection (CAUTI) is a common health care associated infection, accounts for about 40% of the reported cases. Centers for Medicare and Medicaid is considering CAUTI as a never event and limits all reimbursements for the related expenses. Researches proved that limiting the use of indwelling urinary catheters, reducing the duration of catheterized days and proper maintenance of the catheter could prevent the development of CAUTI. Most of the hospitals lack effective policies to prevent unnecessary catheterization and CAUTIs. A Nurse-driven protocol is developed to set guidelines for insertion and maintenance of catheter and reduce the number of catheterized days. An indwelling urinary catheter (IUC) insertion indication, removal criteria, and proper maintenance criteria are developed based on available evidences. The developed criteria are added to the order entry tool for physicians. Nurses are responsible to ensure the presence of an appropriate indication prior to insertion of an IUC or to suggest alternate methods. Nurses will daily assess for the presence of indication or meeting criteria for removal. All IUCs without proper indication or the one that meet the removal criteria should be removed based on the daily nursing assessments. All IUCs should be maintained appropriately and all the care provided should be documented in electronic health record (EHR). Changes can be made in the EHR to ensure proper documentation and monitoring of the success of the program. Effectiveness of the program can be measured using developed audit tool and comparing the pre and post implementation results. Practice changes based on the available evidences will help to reduce the occurrence of CAUTI and related health care expenses.

Download or read book CAUTI Prevention for Long Term Indwelling Bladder Catheters in ICU Patients written by Joseph Andrew Chamness and published by . This book was released on 2021 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: This project aims to determine when a catheter should be removed in the intensive care unit to prevent premature removal. Subsequent multiple straight catheterizations may introduce bacteria into the urethra and result in hospital-acquired infections (HAI). The aim is to reduce the incidence of Catheter-Associated Urinary Tract Infection (CAUTI), a preventable HAI. A change in protocols is needed to match evidence-based research on the best practice methods. Strategies are proposed to decrease the risk of CAUTI, and limitations are discussed. Poorer strategies require more exclusions than good ones. The findings indicate more research is needed on newer strategies to determine the optimal stay-in time for foley catheters in ICU. The study focused on research articles that met ethical standards for any ages and either gender, as all are at risk of CAUTI, although women and the elderly have a higher risk. These incur increased hospital costs and extended length of time of stay. Findings also indicate that timing of catheter removal has an impact on the risk of acquiring CAUTI. The significance of these findings is they can be used as the basis for protocols, thus reducing the incidence of CAUTI, provided the guidelines are followed.

Download or read book Health Informatics written by Ramona Nelson and published by Elsevier Health Sciences. This book was released on 2013-06-14 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Informatics: An Interprofessional Approach was awarded first place in the 2013 AJN Book of the Year Awards in the Information Technology/Informatics category. Get on the cutting edge of informatics with Health Informatics, An Interprofessional Approach. Covering a wide range of skills and systems, this unique title prepares you for work in today's technology-filled clinical field. Topics include clinical decision support, clinical documentation, provider order entry systems, system implementation, adoption issues, and more. Case studies, abstracts, and discussion questions enhance your understanding of these crucial areas of the clinical space. 31 chapters written by field experts give you the most current and accurate information on continually evolving subjects like evidence-based practice, EHRs, PHRs, disaster recovery, and simulation. Case studies and attached discussion questions at the end of each chapter encourage higher level thinking that you can apply to real world experiences. Objectives, key terms and an abstract at the beginning of each chapter provide an overview of what each chapter will cover. Conclusion and Future Directions section at the end of each chapter reinforces topics and expands on how the topic will continue to evolve. Open-ended discussion questions at the end of each chapter enhance your understanding of the subject covered.

Download or read book Priority Areas for National Action written by Institute of Medicine and published by National Academies Press. This book was released on 2003-04-10 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.